在患有晚期玻璃眼瘤的患者中,以阴视镜辅助的透光叶切除术的短期结果
Prakriti Yagnam Konuganti1, Muralidhar Rajamani1, Davinder S Grover2
1Department of Glaucoma, The Eye Foundation, Coimbatore, Tamil Nadu, India.
Journal of current ophthalmology
|October 3, 2025
概括
经镜辅助的透光轨道切除术 (GATT) 显示出对晚期玻璃眼的短期疗效有希望,特别是在以前没有接受过治疗的患者中. 将GATT与白内障手术相结合,进一步提高了成功率.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 眼内压力管理 眼内压力管理
背景情况:
- 晚期玻璃眼瘤对眼内压力 (IOP) 控制构成重大挑战.
- 经镜辅助的透光轨道切除术 (GATT) 已在轻度至中度青光眼中显示出有效性.
- 在晚期青光眼病例中,GATT的有效性仍然是积极调查的领域.
研究的目的:
- 评估诊断为晚期青光瘤的患者经过阴影镜辅助的透光轨道切除术 (GATT) 的结果.
- 评估GATT作为治疗晚期绿眼病的外科手术的有效性和安全性.
主要方法:
- 在2018年1月至2023年4月期间接受了GATT的晚期青光瘤患者进行了回顾性图表审查.
- 成功是由特定的眼内压力 (IOP) 降低目标和药物使用标准来定义的.
- 分析了单独的GATT数据和GATT与白内障手术的数据.
主要成果:
- 平均内血压从手术前的24.9mmHg显著降低到手术后6个月的12.1mmHg.
- 完全成功率 (标准A) 在6个月后为66.7%,在1年后为51.9%.
- 将GATT与白内障手术结合起来,并在以前没有接受过治疗的患者中进行GATT,显示出更好的成功率.
结论:
- 在晚期青光眼患者中,GATT显示出令人鼓舞的短期结果.
- 这种手术在以前没有接受过治疗的人群中尤其有效,并且在与白内障手术相结合时尤其有效.
- 虽然通常是安全的,但潜在的并发症,如延迟出血需要监测.
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